How much rates vary
Facilitymedian $5,012 · 10th to 90th $1,698 to $8,318Professionalmedian $1,862 · 10th to 90th $1,349 to $9,550
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,691.53 Median $5,128.61 Typical High $9,549.93 | Facility | None | $2,691.53 | $5,128.61 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,288.25 | $1,621.81 | $1,995.26 |
BCBS Kansas Setting Facility Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,011.87 | $5,370.32 | $5,370.32 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $5,128.61 Typical High $5,495.41 | Facility | None | $912.01 | $5,128.61 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $1,995.26 | Professional | None | $1,380.38 | $1,905.46 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $2,951.21 Typical High $26,302.68 | Facility | None | $1,202.26 | $2,951.21 | $26,302.68 |
Medica Setting Professional Modifier None Typical Low $1,380.38 Median $1,737.80 Typical High $9,549.93 | Professional | None | $1,380.38 | $1,737.80 | $9,549.93 |
United Setting Facility Modifier None Typical Low $870.96 Median $2,691.53 Typical High $8,912.51 | Facility | None | $870.96 | $2,691.53 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,513.56 | $2,137.96 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $645.65 Median $812.83 Typical High $1,000.00 | Professional | 52 · Reduced service | $645.65 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $323.59 Typical High $398.11 | Professional | 53 · Discontinued | $257.04 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $1,202.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $977.24 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $302.00 | Professional | 55 · Aftercare only | $194.98 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $162.18 Typical High $199.53 | Professional | 56 · Pre-op care only | $128.82 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,122.02 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $912.01 | $1,122.02 | $1,380.38 |
Where Kansas sits
The same service costs 4.0 times more in Colorado than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $14,661HI $3,664
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.